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NPI 1891257713

NPI 1891257713 : BARRETT THERAPY AND WELLNESS PLLC : BENTON, KY

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General NPI Number Information
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    NPI Number           |    1891257713
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARRETT THERAPY AND WELLNESS PLLC 
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Dates
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    Enumeration Date     |    04/01/2019
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    Last Update Date     |    01/30/2020
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Provider Practice Location Address
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    Address Line         |    750 MAIN ST 
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    City                 |    BENTON
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    State                |    KY
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    Zip                  |    42025-1239
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    Country              |    US
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    Telephone            |    270-293-2766
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    Fax                  |    270-252-7071
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Provider Business Mailing Address
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    Address Line         |    750 MAIN ST 
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    City                 |    BENTON
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    State                |    KY
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    Zip                  |    42025-1239
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    Country              |    US
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    Telephone            |    270-293-2766
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    Fax                  |    270-252-7071
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Authorized Official
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    Title or Position    |    DPT/OWNER
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    Name                 |     MEGAN  BARRETT 
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    Credential           |    DPT
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    Telephone            |    270-293-2766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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